Shannan Deann Souza, APRN is a medicare enrolled "Nurse Practitioner - Family" in Pottsville, Arkansas. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
5150a Sr 247, Pottsville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 567-5679.
Shannan Deann Souza is licensed to practice in Arkansas (license number F06192213) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831740125.
Provider's Profile
| Full Name | Shannan Deann Souza |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 5150a Sr 247, Pottsville, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shannan Deann Souza graduated from nursing school in 2019
NPI Data:
- NPI Number: 1831740125
- Provider Enumeration Date: 09/27/2019
- Last Update Date: 11/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143610311
- Enrollment ID: I20211201002707
Medical Identifiers
Medical identifiers for Shannan Deann Souza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831740125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | F06192213 (Arkansas) | Primary |
Medical Facilities Affiliation
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannan Deann Souza allows following entities to bill medicare on her behalf.
| Entity Name | Souza-townsend Family Medical Clinic, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245993237
PECOS PAC ID: 7416347687
Enrollment ID: O20211201002502 |
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| Entity Name | Shannan Souza Aprn Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992421622
PECOS PAC ID: 9830566934
Enrollment ID: O20221102001656 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannan Deann Souza is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Shannan Deann Souza, APRN
5150a Sr 247,
Pottsville, AR 72858-6002
Ph: (479) 567-5679 | Shannan Deann Souza, APRN
5150a Sr 247,
Pottsville, AR 72858-6002
Ph: (479) 567-5679 |
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